1.    A medical director authorizes or denies pre-certification of medical procedures.  Pre-certification was denied b/c it wasn’t “medically necessary,” but doctor performed surgery anyway.  After surgery, it was found that surgery was needed.
2.    Physician wrote the Medical Board complaining of the director’s unprofessional conduct.
3.    Director claims he was not engaged in the practice of medicine and that the board had no jurisdiction over him.
4.    Court held that the medical director evaluated the patient and disagreed with the diagnosis and that substituting medical judgment for a physician’s judgment is a “medical decision” and he is under the board’s jurisdiction.